RT Journal Article T1 ANGPTL-4 is Associated with Obesity and Lipid Profile in Children and Adolescents A1 Barja Fernández, Silvia A1 Folgueira Cobos, Cintia A1 Castelao Taboada, Cecilia A1 Pena León, Verónica A1 González Saenz, Patricia A1 Vázquez Cobela, Rocío A1 Aguilera, Concepción M. A1 Gil Campos, Mercedes A1 Bueno Lozano, Gloria A1 Gil, Ángel A1 Moreno, Luis A. A1 Ruiz Piñón, Manuel A1 García Palacios, María A1 Casanueva Freijo, Felipe A1 Diéguez González, Carlos A1 Nogueiras Pozo, Rubén A1 Leis Trabazo, María Rosaura A1 Seoane Camino, Luisa María K1 ANGPTL-4 K1 BMI loss K1 Childhood K1 Lipid profile K1 Obesity AB Angiopoietin-like protein 4 (ANGPTL-4) regulates lipidic metabolism and affects energy homeostasis. However, its function in children with obesity remains unknown. We investigated plasma ANGPTL-4 levels in children and its relationship with body mass index (BMI) and different lipidic parameters such as free fatty acids (FFA). Plasma ANGPTL-4 levels were analyzed in two different cohorts. In the first cohort (n = 150, age 3–17 years), which included children with normal weight or obesity, we performed a cross-sectional study. In the second cohort, which included only children with obesity (n = 20, age 5–18 years) followed up for two years after an intervention for weight loss, in which we performed a longitudinal study measuring ANGPTL-4 before and after BMI-loss. In the cross-sectional study, circulating ANGPTL-4 levels were lower in children with obesity than in those with normal weight. Moreover, ANGPTL-4 presented a negative correlation with BMI, waist circumference, weight, insulin, homeostasis model assessment of insulin resistance index (HOMA index), triglycerides, and leptin, and a positive correlation with FFA and vitamin-D. In the longitudinal study, the percent change in plasma ANGPTL-4 was correlated with the percent change in FFA, total-cholesterol and high-density lipoprotein cholesterol. This study reveals a significant association of ANGPTL-4 with pediatric obesity and plasma lipid profile PB MDPI YR 2019 FD 2019 LK http://hdl.handle.net/10347/23875 UL http://hdl.handle.net/10347/23875 LA eng NO Barja-Fernández, S.; Folgueira, C.; Castelao, C.; Pena-León, V.; González-Saenz, P.; Vázquez-Cobela, R.; Aguilera, C.M.; Gil-Campos, M.; Bueno, G.; Gil, Á.; Moreno, L.A.; Ruiz-Piñon, M.; García-Palacios, M.; Casanueva, F.F.; Diéguez, C.; Nogueiras, R.; Leis, R.; Seoane, L.M. ANGPTL-4 is Associated with Obesity and Lipid Profile in Children and Adolescents. Nutrients 2019, 11, 1340 NO This research was funded by INSTITUTO DE SALUD CARLOS III cofounded by FEDER, grants number PI18/00998, PI15/01272, PI11/02042, PI16/01301, and PI16/00871, and FUNDACIÓN MUTUA MADRILEÑA DS Minerva RD 28 abr 2026